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<p class="MsoNormal"><span style="font-size:12.0pt;color:#0000CC">Interesting that Vitamin D is considered a hormone, and that preventing one problem has potentially created several others…<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#0000CC"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#0000CC"><a href="https://www.sciencedaily.com/releases/2017/05/170501102258.htm">https://www.sciencedaily.com/releases/2017/05/170501102258.htm</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#0000CC"><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:18.0pt;font-family:"inherit","serif";color:#004276">Widespread vitamin D deficiency likely due to sunscreen use, increase of chronic diseases, review finds<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:18.0pt;font-family:"inherit","serif";color:#004276"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Date:<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:24.75pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">May 1, 2017<o:p></o:p></span></p>
<p class="MsoNormal"><b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Source:<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:24.75pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">American Osteopathic Association<o:p></o:p></span></p>
<p class="MsoNormal"><b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Summary:<o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:24.75pt">
<span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Results from a clinical review find nearly 1 billion people worldwide may have deficient or insufficient levels of vitamin D due to chronic disease and inadequate sun
exposure related to sunscreen use. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span lang="EN" style="font-size:13.5pt;font-family:"Helvetica","sans-serif";color:#333333">Results from a clinical review published in
<i>The Journal of the American Osteopathic Association</i> find nearly 1 billion people worldwide may have deficient or insufficient levels of vitamin D due to chronic disease and inadequate sun exposure related to sunscreen use.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">The study also found that 95 percent of African American adults may have vitamin D deficiency or insufficiency. Vitamin
D variations among races are attributed to differences in skin pigmentation.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">"People are spending less time outside and, when they do go out, they're typically wearing sunscreen, which essentially
nullifies the body's ability to produce vitamin D," said Kim Pfotenhauer, DO, assistant professor at Touro University and a researcher on this study. "While we want people to protect themselves against skin cancer, there are healthy, moderate levels of unprotected
sun exposure that can be very helpful in boosting vitamin D."<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Dr. Pfotenhauer also said chronic diseases like Type 2 Diabetes and those related to malabsorption, including kidney
disease, Crohn's and celiac disease greatly inhibit the body's ability to metabolize vitamin D from food sources.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333;background:yellow;mso-highlight:yellow">Considered a hormone rather than a vitamin, vitamin D is produced when skin is
exposed to sunlight. Vitamin D receptors are found in virtually every cell in the human body. As a result, it plays a wide role in the body's functions, including cell growth modulation, neuromuscular and immune function and inflammation reduction.</span><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Symptoms for insufficient or deficient vitamin D include muscle weakness and bone fractures. People exhibiting these
symptoms or who have chronic diseases known to decrease vitamin D, should have their levels checked and, if found to be low, discuss treatment options. However, universal screening is likely neither necessary nor prudent absent significant symptoms or chronic
disease.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Increasing and maintaining healthy vitamin D levels can be as easy as spending 5-30 minutes in midday sun twice per
week. The appropriate time depends on a person's geographic location and skin pigmentation -- lighter skin synthesizes more vitamin D than darker skin. It is important to forgo sunscreen during these sessions because SPF 15 or greater decreases vitamin D3
production by 99 percent.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">"You don't need to go sunbathing at the beach to get the benefits," said Dr. Pfotenhauer. "A simple walk with arms and
legs exposed is enough for most people."<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Food sources such as milk, breakfast cereals, and Portobello mushrooms are also fortified with vitamin D. Dr. Pfotenhauer
said supplements are a good option, as they are effective and pose few risks, provided they are taken as directed and a physician is consulted beforehand.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Research is ongoing to determine whether vitamin D deficiency has a role in multiple sclerosis, autoimmune disorders,
infections, respiratory disease, cardiometabolic disease, cancer, and fracture risk.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">"Science has been trying to find a one-to-one correspondence between vitamin D levels and specific diseases," said Dr.
Pfotenhauer. "Given vitamin D's ubiquitous role in the body, I believe sufficient vitamin D is more about overall health. Our job as osteopathic physicians is to recognize those patients that need to be tested and treat them accordingly."<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Currently, insufficiency is defined as between 21 and 30 ng/ml and deficiency is considered below 20ng/ml by the Endocrine
Society.<o:p></o:p></span></p>
<div class="MsoNormal" align="center" style="mso-margin-top-alt:15.0pt;margin-right:0in;margin-bottom:15.0pt;margin-left:0in;text-align:center">
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<p class="MsoNormal" style="margin-bottom:7.5pt"><b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Story Source:</span></b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Materials provided by
<a href="http://www.osteopathic.org/" target="_blank"><b><span style="color:#004276;text-decoration:none">American Osteopathic Association</span></b></a>.
<i>Note: Content may be edited for style and length.</i><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:7.5pt"><b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Journal Reference</span></b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">:<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:0in;text-indent:-.25in;mso-list:l1 level1 lfo1">
<![if !supportLists]><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Kim M. Pfotenhauer, Jay H. Shubrook.
<b>Vitamin D Deficiency, Its Role in Health and Disease, and Current Supplementation Recommendations</b>.
<i>The Journal of the American Osteopathic Association</i>, 2017; 117 (5): 301 DOI:
<a href="http://dx.doi.org/10.7556/jaoa.2017.055" target="_blank"><span style="color:#004276;text-decoration:none">10.7556/jaoa.2017.055</span></a>
<o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:7.5pt"><b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">Cite This Page</span></b><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">:<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#333333">American Osteopathic Association. "Widespread vitamin D deficiency likely due to sunscreen use, increase of chronic diseases, review finds." ScienceDaily.
ScienceDaily, 1 May 2017. <www.sciencedaily.com/releases/2017/05/170501102258.htm>.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#0000CC"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#0000CC"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;color:#000099">Deborah L. DeBiasi<br>
<b>Email: <a href="mailto:Deborah.DeBiasi@deq.virginia.gov"><span style="color:#000099">Deborah.DeBiasi@deq.virginia.gov</span></a><i><br>
</i></b>WEB site address: <a href="http://www.deq.virginia.gov/"><span style="color:#000099">www.deq.virginia.gov</span></a><br>
Virginia Department of Environmental Quality<br>
Office of Water Permits <br>
Industrial Pretreatment/Whole Effluent Toxicity (WET) Program<br>
PPCPs, EDCs, and Microconstituents<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;color:#000099"><a href="http://www.deq.virginia.gov/Programs/Water/PermittingCompliance/PollutionDischargeElimination/Microconstituents.aspx"><span style="color:#000099">http://www.deq.virginia.gov/Programs/Water/PermittingCompliance/PollutionDischargeElimination/Microconstituents.aspx</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;color:#000099">Mail: P.O. Box 1105, Richmond, VA 23218<br>
Location: 629 E. Main Street, Richmond, VA 23219<br>
PH: 804-698-4028 FAX: 804-698-4032</span><span style="font-size:9.0pt;color:navy"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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